Home
Events
About
Our New Facility
Board of Directors
Adoption
Volunteer
Foster
Donate
Sponsor A Pet
Contact
Foster Application
This questionnaire must be completed by anyone interested in fostering a pet from the Henry County Humane Society-Geneseo. We at the HCHS-G try to place our animals into responsible homes while matching the foster pet to you and your lifestyle. Please know that many times we don't received a lot of advance notice on animals needing placed in foster homes. Many times your foster will come with different intestinal parasites that they will need to be treated for and can be contagious to your own pet. This is why you would need to keep them separate from your own pets. Please do not apply if you would have an issue with this.
*
Indicates required field
Name of Applicant
*
Email
*
Home Phone
*
Cell Phone
*
Address
*
Line 1
Line 2
City
State
Zip Code
Country
How long have you lived at this address?
*
What kind of pet are you interested in fostering?
*
Dog
Puppy
Cat
Kitten
Other
Are you 18 years of age or older?
*
Yes
No
Do you own your own home?
*
Yes
No
If no, does your lease allow pets?
*
Yes
No
Landlord's Name:
*
Landlord's Phone:
*
Who lives in your home? (List all names and ages of children)
*
Will an adult be home during the day?
*
Do you currently own a pet?
*
Yes
No
List the animals' names, with age, sex, and breed: (Example: Sadie, 4 years, female, golden retriever)
*
Are your current/past pets' shots up to date?
*
Yes
No
Veterinarian’s Name
*
Veterinarian's Phone Number
*
Do you have a space in your home that would allow for your foster animals to be kept separate from your own pets?
*
Yes
No
Are your current/past pets spayed or neutered?
*
Yes
No
Are you willing to go to take your foster pet to their vet appointments as needed? (All vet costs will be covered by shelter.)
*
Yes
No
Are you willing to administer medication?
*
Yes
No
Signature
*
If form does not submit, please go through the form and assure that you have completed all of the information - errors will highlight.
Submit
Home
Events
About
Our New Facility
Board of Directors
Adoption
Volunteer
Foster
Donate
Sponsor A Pet
Contact